混合情绪能促进心理健康吗？

摘 要 积极和消极情绪的同时体验,即混合情绪,是生活中常见的情绪状态。健康应对的共激活模型、情绪动态模型和积极比模型一致认为混合情绪与心理健康之间呈现非线性的关系,适当的混合情绪有利于个体在困境中全面加工和整合信息,寻求意义,获得控制感,进而实现健康应对和心理症状改善,获得幸福感。未来研究应关注对非线性关系的精确描述;低压力或非压力情境下混合情绪的意义;进一步研究混合情绪促进心理健康的内部机制和影响因素。     

Depression screening and treatment among uninsured populations in Primary Care

Uninsured populations have poor treatment engagement and are less likely to receive evidence-based interventions for depression. The objective of the current study was to retrospectively examine depression screening, diagnosis, and treatment patterns among uninsured patients in primary care. Study sample included all patients (N = 11,803) seen in nine community-based clinics. Key variables included depression screener and/or a depression diagnosis, anti-depressant initiation, behavioral health visits, and patient follow up measures. Treatment patterns from the subsample of patients diagnosed with depression were analyzed by collecting the number of behavioral health visits and antidepressant use six months (180 days) following the diagnosis. Utilization of the depression screening tool was high (67%, n = 7,935) and 24% (n = 2,789) of the patients had a diagnosis of depression, however, more than half of the patients with a depression diagnosis did not have a recorded treatment plan (n = 1,474). The odds of anti-depressant use and behavioral visits for Hispanic patients were significantly greater than for Non-Hispanic patients. Universal screening with brief measures in primary care is improving, however, guideline-concordant depression treatment remains elusive for uninsured populations.     

Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries

Background/Objective: This study explored the association between active school travel (AST) and suicide attempts among adolescents in low- and middle-income countries (LMICs). Method: We used the data from the Global School-based Health Survey, including 127,097 adolescents aged 13-17 years from 34 LMICs. A self-reported survey was used to collect data on AST and suicide attempts as well as some variables. Multivariable logistic regression was performed to assess the association between AST and suicide attempts. A meta-analysis with random effects was undertaken to identify the difference in the association between AST and suicide attempts. Results: Across all the adolescents, the prevalence of AST was 37% and the prevalence of suicide attempts was 11.60%. Adolescents who engaged in AST were less likely to have suicide attempts irrespective of gender. The country-wise analysis indicated a large inconsistency in the association between AST and suicide attempt across the countries. Conclusions: AST would appear to be a protective factor for reducing suicide attempts among adolescents. However, the association between AST and suicide attempts varied greatly across the countries. Future studies should confirm the association between AST and suicide attempts.     

Effects of fluprazine (DU 27716) upon aggressive and sexual behavior of testosterone-treated female rats

Female rats, chronically treated with Testosterone Propionate (TP), were injected with Fluprazine (DU 27716) or saline and tested for social aggression, masculine and feminine sexual behavior. Fluprazine-treated females were less aggressive than saline-treated females, as indicated by a shift from offensive to less offensive parameters of aggression. At the same time, mounting in Fluprazine-treated females was almost totally abolished, both in aggression tests and in tests for sexual behavior. Feminine sexual responses increased during aggressive encounters but were slightly inhibited when females were confronted with sexually active males. Females treated with Fluprazine and tested for mounting with a receptive female showed a substantial increase of offensive aggression directed at the receptive stimulus female. It is concluded that Fluprazine does not selectively inhibit offensive aggression in TP-treated female rats.     

Sexual jealousy in young women and men: Aggressive responsiveness to partner and rival

Two studies compared judgments about aggressive components of jealous reactions to the partner and to the rival, specifically, emotional (anger), cognitive (blame), and behavioral components. The first study randomly assigned 172 young women and men to two questionnaires on jealous reactions to mild (flirting) and serious (cheating) transgressions. One questionnaire assessed standards for appropriate behavior and perceptions of how people usually react. The second questionnaire asked people to report how they had reacted or, if not experienced with a sexual transgression, how they would react. The second study asked 113 people to imagine a situation in which they knew their partner had been sexually unfaithful. There were three major findings that were interpreted in the context of courtship, a time when attention is focused on the qualities of one's potential long-term partner. First, the jealous individual's anger and blame were focused more on the partner than the rival. Second, mean anger and blame scores given the partner were well matched. In contrast, the rival received more anger and blame than deemed appropriate and considerably more anger than blame. These data suggest that, in the context of courtship, a rival is not simply a competitor. Third, men were more inclined to think about aggressive action against the rival but women were more emotionally and behaviorally reactive to the rival. The latter result implies that, in the context of competition for an established romantic partner, a rival is more salient for women than for men. © 1993 Wiley-Liss, Inc.     

Aggressive behavioral characteristics,hormones, and sexual orientation in men and women

Aggressive behavioral characteristics were assessed in groups of men and women by a self-report instrument, the Aggression Inventory, in which adult males reported more physical and verbal aggression than did females. Furthermore, males had higher scores on measures of impulsiveness and lack of frustration tolerance than did females, while women were more likely to avoid confrontation. In a second study, groups of male and female homosexuals and heterosexuals completed this Aggression Inventory after having blood samples taken to assay resting levels of testosterone (T) and estradiol (E). Groups of subjects within each gender were closely matched in terms of age, education, and vocational interests. Women were matched for the same time in their menstrual cycle (early follicular phase). Among men, homosexuals were indistinguishable from heterosexuals on all measures of aggression. Lesbians did not differ from heterosexual women on any aggression subscale except physical aggression, in which the homosexual women had lower scores. T and E were positively correlated with several indices of aggressive behavioral characteristics in men but were negatively correlated with those same measures in women.     

Training Counsellors to Work with People who Live with Cancer: A Needs-led Approach to Planning

This paper traces the development of a cancer counselling service within a voluntary helping agency. The steps of recognizing the needs of people with cancer, identifying multi-faceted desired outcomes and the implementation of one specific goal, that of provision of a counselling service, are outlined. Significant events, stages and decisions made during this process are described and discussed. The emphasis throughout is on the importance of needs analysis and client group consultation in order that the planned service is best placed to meet such needs.     

Citizen Advocacy Observed: Tool or Tokenism?

Citizen advocacy, where a volunteer works in partnership with a vulnerable person, compliments self- and legal advocacy. In the context of mental health services, citizen advocacy is a tool for enabling and empowering people who use these services, and is founded on the recognition that mental health service users are frequently socially oppressed and disadvantaged. This article describes the development of a Citizen Advocacy service for people with mental health difficulties, and also the problems they brought to this service. The problems encountered in sustaining the service are noted and lessons are drawn for the future.     

Poverty and Mental Health: Underclaiming of Welfare Benefits

The study undertaken by a local MIND welfare benefits service found that 51% of people attending a local mental health resource centre were not receiving the welfare benefits to which they were entitled. Being in receipt of correct benefit entitlement was found to be unaffected by: whether a person had a long history of using mental health services; whether they had a care manager; or whether they had previously been given benefits advice. Women were less likely to be receiving their correct benefit entitlement than men. It is argued that the only way to guarantee that people receive their full benefit entitlement is to ensure that highly trained and experienced welfare benefits advisers are readily accessible to all people who use mental health services.     

Influence of timing of post-weaning isolation on play fighting and serious aggression in the male golden hamster (Mesocricetus auratus)

Effects of timing of social isolation on play fighting and serious fighting were studied at different ages in male golden hamsters. Litters were isolated at 21, 35, and 65 days of age, and tested in a resident-intruder paradigm. Behaviors were compared within grous and with a fourth group of socially reared conspecifics. The earlier the pups were isolated, the more they engaged in play activities. Later, in adulthood, the aggression level of the same animals was retested using the same paradigm. The three isolated groups showed a high level of aggression, with significant differences among them. When compared with socially reared subjects, a reliable difference in the level of aggression was also found. These results support the view that early social experience is important, suggesting that isolation during early critical periods of socialization has a significant impact on play fighting, whereas short periods of isolation may be enough to trigger adult agonistic behavior. © 1994 Wiley-Liss, Inc.